Provider Demographics
NPI:1497968929
Name:BEE HIVE - EVANS #2, LLC
Entity Type:Organization
Organization Name:BEE HIVE - EVANS #2, LLC
Other - Org Name:BEE HIVE EVANS #2
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:CHRISTIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-506-0006
Mailing Address - Street 1:1331 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80631-4601
Mailing Address - Country:US
Mailing Address - Phone:970-506-0006
Mailing Address - Fax:970-378-0329
Practice Address - Street 1:1725 32ND ST
Practice Address - Street 2:
Practice Address - City:EVANS
Practice Address - State:CO
Practice Address - Zip Code:80620-3421
Practice Address - Country:US
Practice Address - Phone:970-304-9277
Practice Address - Fax:970-304-9267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAL-0371310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility